| NPI | 1588806624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY DEE PRUSZENSKI Director 603-766-4548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist Vision Therapy (Licence: NH 609) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2010-12-29 |